go back

Prostate Cancer Urine Gene Score

Minnesota rates for HCPCS 81313

A urine test, collected straight after a doctor examines the prostate, that measures two prostate-specific genetic messages and reports their ratio as a score. A higher score means a biopsy is more likely to find cancer, so it helps decide whether a biopsy is worth doing when a PSA result is borderline.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$257

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $661 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$240 to $295
FacilityA hospital or hospital-owned outpatient department$661$257 to $1,000

How much rates vary

Facilitymedian $661 · 10th to 90th $240 to $1,862Professionalmedian $257 · 10th to 90th $204 to $372
$200$500$1K$2Kfacility $661professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$524.81
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,862.09
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$257.04
Typical High
$549.54

Where Minnesota sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 20th of 51

$257

AK $575MD $191

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.